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32A-153 30 Strong St ZPA 2015-09-02------ File # MP-2016-0012 APPLICANT/CONTACT PERSON Mohamed Nasodradumal ADDRESSIPHONE 42 Valley Village Place PROPERTY LOCATION 30 STRONG AVE MAP 32A PARCEL 153 030 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: Convenience Store BuildQut New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner! Statement or License 3 sets ofPlans I Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO.J(MA TION PRESENTED: _V_AAnpmproved __Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § ________ Intermediate Project :,___Site Plan AND/OR'---...__,Special Permit with Site Plan Major Project: Site Plan ANDIOR Special Permit with Site Plan ZONING BOARD PERMIT REQUIRED UNDER: Finding~____ Special Permit _____ Variance* ______ ___Received & Recorded at Registry ofDeeds ProofEnc1osed:...-____ ___Other Permits Required: ~__Curb Cut from DPW ___Water Availability ___Sewer Availability ___,Septic Approval Board ofHealth ____Well Water Potability Board ofHealth ---- Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission ____Permit DPW Storm Water Management Signature ofBuilding Official Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards ofMGL 40A. Contact the Office of Planning & Development for more information. t1 oL.D FotL. '06SCf2.\ Pf(ol'\ HOL-O f'Qfl,. P£'f\tlS Please type or print all information and return this form to the Building Inspector's Office with the $tdJ5filingfee (check or money order) pa.yable to the . If 54 City ofNorthampton . - ­ 1. . Name of Applicant: II/)OltfJ ~'!7]J AI1J5oro/fI)J)U tYJl91 CW3) 3"r-!2-if7 • Address: Y-2. I'IT1-L 1:-1 J/ILt.ttp~. PLI1f!.ea-TelePhone(¥!3) 3b2-t!)'fbj ( _ 7JY'?fiE:I1f7 /1'7/7 O{C!102. • I ' ' . ,2. OWner of Property: c;,Il~0 /erYn':LY) I;'::' 64~~ KOJ' klRJfkC-WI.70 0 ~ Address' 3 {) Sfr£wJ..1 /Jv4?htJ..R... Nrfh~~'-J Telephone( 'fj3) S3~-y-s.fli c,,~: . V "i'\~\I,~~ 3. Status of Applicant: Owner Contract Purchaser Lessee' V'" Other (explain) _______ 4. Job Location:...3 0 -~'}'~t!JVG~ Nfbrfk~JV(-ftayt, _ r 5. Existing Use of Structurel Property:_ ..__'J"_e:~UJ_c._(;:_R._~=---,_s"_T_cH,--t~____________ 6. Description of Proposed UselWork/Project/Qccupation: (Use additional sreets if-necessary): 7. Attached Plans: Sketch PLan Site Plan Engineered/Surveyed PLans ___v--: ' 8. Has a SpeciaL Permit/Variance/Finding ever been issued for/on the site? NO ____ DON'T KNOW ____ YES ____ IF YES, date issu~d:_______ IF YES: Was the permit recorded at the Registry of Deeds? NO ____ DON'T KNOW ____ YES, ____ IF YES: enter Book ____ Page ____-and/or Document # ______ 9.Does the site contain a brook} body of water or wetLands? NO __ DON'T KNOW ___ YES __ IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ____ Obtained ----;r--, date issued: _______ (Form Continues On Other Side) W:lJ)ocllments\FORMS\original\Building.Inspector\Zoning-Permit-Application-passiye.doc 8/412004 12 . 1D. Do any signs exist on the property? YES ____ NO X IF YES, describe size, type and location:_________________--'_____ YES ~. NO___Are there any proposed changes to or additions of signs intended for the property? IF YES, ~SCribe size, type and location: AI ~ f'C4.1"U{?£ ~ ~ !j rJ . 11. Will the c~truction activity disturb (clearing, grading, excavation, or'filling) .over 1 acre or is it part of a common plan of de ~fbpment that will disturb over 1 acre? YES NO· IF YES, the~orthampton Storm Water Management Perm it from the ;PW Is required. ALL )NFORMATION~)~BE~OMPLETEDJ or PERMIT CAN BE DENIED DUE TO LACK O. F INFORMATION . . This colWTf11res81'1Jed . 'foruse by theBuilding . Depa:rtInent . I I !LotSize I ' . Frontage Setbacks iBuilding Height i Front Side Rear i Building Square Footage I %Open Space: (lot area minus buHding a: paved parking # of Parking Spaces # of Loading Docks '\. EXISTING I PROPOSED I REQUIRED BY '\. ZONI:NG /' R: )( JI ,i - '/ ~ FiIl: ,/ '\. (volume a: location) /. '\. I i 13. Certificati~n: I her:by.fe~ifY that the information contained herein is true and accurate tothe best o~ my knowledge. I .~ Date: :5 j-2-S/:lOlr Applicant's Signature....:~.......:;.;A:..:.....~:...·_~~.__________ r 7 NOTE: Issuance of a zoning permit does notrelieve an applicant's bur"den to comply -with an zoning requirements and obtain an required permits from the Board ofHealth, Conservation Commis'sion, Historic andArchitectural Boards, Department ofPublic Works and other applicable permit granting authorities. 8/4/2004W:\DocumentsIFORMS\origina1\Building-Inspector\Zoning-Pecrnit.Application-passive.doc \ '1 I i~ \ I : \ i .~ ----p~ • c,...,.... . ''.-t::1 \